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NPI Code Detail

MEDICARE: MS. MAUREEN WUEST PT

MEDICARE: MS. MAUREEN WUEST PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist010656NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750372025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAUREEN WUEST PT
Provider Business Mailing Address
First Line : 1729 BURRSTONE RD
Second Line :
City : NEW HARTFORD
State : NY
Zip : 13413-1001
Country : US
Telephone Number : 315-798-1415
Fax Number : 315-798-1707
Provider Business Practice Location Address
First Line : 8200 SENECA TPKE
Second Line :
City : CLINTON
State : NY
Zip : 13323-1027
Country : US
Telephone Number : 315-738-1671
Fax Number : 315-738-0942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 02/10/2021

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